MRS. PATRICIA FULLER (NPI# 1689848764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689848764 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA FULLER |
| Credential | OTR |
| Practice Address |
504 Lakeland Rd Shawano WI 54166-3836 |
| Mailing Address |
615 S Lincoln St Shawano WI 54166-2915 |
| Practice Telephone | 7155265547 |
| Mailing Telephone | 7155245094 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
2196-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40622700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176901 | Patricia Lynn Fuller | Home Health | 3554 Westwood Rd Ne, Mancelona, MI 49659-9539 | 2019-10-25 |
| 1689732117 | Patricia I Fuller | Counselor | 88 Lincoln St, Framingham, MA 01702-6354 | 2006-12-05 |
| Street Address |
504 LAKELAND RD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894224 | Joann W Liska | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2006-10-12 |
| 1376001636 | Gregory Nordwig | Registered Nurse | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2019-03-06 |
| 1811495294 | Jenna Hammer | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2018-01-31 |
| 1326582305 | Christopher Kuhn | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-12-12 |
| 1659821981 | Shawano County Department of Human Services | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-10-11 |
| 1891180337 | Tracy Porath | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942695481 | Jeffrey Herman | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942607056 | Judy Laude | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-12-04 |
| 1750798914 | Alicia Elliott | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-18 |
| 1558778324 | Julie Behnke | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819026 | Christina Ishaq | Occupational Therapist | 1217 E Manitoba St, Milwaukee, WI 53207-2448 | 2020-04-08 |
| 1083248447 | Bethany Lyn Weberpal | Occupational Therapist | 200 W Milwaukee St, Janesville, WI 53548-2916 | 2020-02-25 |
| 1164921870 | Moving Parts Therapy LLC | Occupational Therapist | W5669 County Road Kk Ste E, Appleton, WI 54915-9398 | 2018-02-08 |
| 1245744572 | Diane E Killen | Occupational Therapist | N3219 County Road H, Lake Geneva, WI 53147-1074 | 2017-11-22 |
| 1871003418 | Heidi Jennifer Adriansen | Occupational Therapist | 4115 N Stowell Ave, Shorewood, WI 53211-1743 | 2017-10-10 |
| 1255841979 | Michelle Silverman | Occupational Therapist | 9222 N Regent Rd, Bayside, WI 53217-1364 | 2017-10-08 |
| 1174040893 | Mary K Sahr | Occupational Therapist | 805 Hewitt St, Neenah, WI 54956-2838 | 2017-08-23 |
| 1023484714 | Ka Yang | Occupational Therapist | 4530 N 74th St, Milwaukee, WI 53218-5430 | 2015-08-17 |
| 1295147536 | Angela Gille | Occupational Therapist | 3595 Wynter Ln, Madison, WI 53718-6357 | 2014-05-21 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.